STARPRESS D XL 25MG TABLET belongs to a group of medications called ‘antihypertensives’ used to treat hypertension (high blood pressure). It can also reduce oedema (fluid retention) in hypertensive patients. Hypertension is a condition in which there will be a persistent rise in blood pressure levels. This condition can also cause fluid retention, leading to peripheral oedema (swelling of legs and hands). 

STARPRESS D XL 25MG TABLET is a combination of two medicines: Metoprolol and Chlorthalidone. Metoprolol is a beta-blocker and works by blocking epinephrine, resulting in a decrease in heart rate and blood pressure. Chlorthalidone is a diuretic or water pill that acts by expelling excess water and salt from the body. It helps in decreasing fluid accumulation and oedema.

You should take this medicine as prescribed by your doctor. STARPRESS D XL 25MG TABLET may cause some side-effects such as anorexia (loss of appetite), nausea and vomiting, diarrhoea, constipation, jaundice (yellowing of the whites of eyes and skin), dizziness, headache, visual abnormality, photosensitivity (sensitivity to light), orthostatic hypotension (dizziness on standing due to low blood pressure), weakness, restlessness, bradycardia (slow heart rate), and stomach pain. It may also electrolyte levels. If any of these side-effects persist, consult your doctor immediately.

Do not take STARPRESS D XL 25MG TABLET if you are allergic to any contents of it. Do not take STARPRESS D XL 25MG TABLET if you have heart rhythm problems, heart failure, blocked blood vessels, bradycardia (slow heart rate), chest pain, metabolic acidosis (increased acidity in the blood), and hypotension (low blood pressure). STARPRESS D XL 25MG TABLET should be used with caution in patients with kidney or liver diseases, allergy or asthma, and gout (increased uric acid levels in the blood).  Also, inform your doctor if you are pregnant and breastfeeding.

STARPRESS D XL 25MG TABLET is a combination of two medicines: Metoprolol and Chlorthalidone. Metoprolol is a beta-blocker and works by acting on epinephrine, a hormone that can increase heart rate and blood pressure. So, blocking the action of epinephrine can result in a decrease in heart rate and blood pressure. Chlorthalidone is a diuretic or water pill that acts by expelling excess water and salt from the body. It helps in decreasing fluid accumulation and swelling or edema.

• Anorexia (loss of appetite)
• Gastric irritation
• Nausea and vomiting
• Diarrhea  
• Constipation
• Jaundice (yellowing of the whites of eyes and skin)
• Dizziness
• Headache       
• Visual abnormality
• Photosensitivity (sensitivity to light)
• Orthostatic hypotension (dizziness on standing due to low blood pressure)
• Weakness
• Restlessness
• Bradycardia (slow heart rate)
• Stomach pain

STARPRESS D XL 25MG TABLET may cause abnormalities such as electrolyte imbalances such as a decrease in potassium, sodium or chloride levels. So, it is advised to monitor electrolyte levels before initiating this therapy and also should be used with extreme caution in patients with severe liver and kidney disease. STARPRESS D XL 25MG TABLET may cause photosensitivity, so avoid exposure to sunlight for prolonged periods. STARPRESS D XL 25MG TABLET contains lactose, so inform your doctor if you have any intolerance to sugars.    

• LITHIUM
• CIMETIDINE
• HYDRALAZINE
• AMIODARONE
• PROPAFENONE
• ALPROSTADIL
• DIAZEPAM
• INDOMETHACIN
• CELECOXIB
• RIFAMPICIN
• TERBINAFINE
• HYDROCORTISONE
• PREDNISOLONE
• ADRENALINE
• NOREPINEPHRINE

• Limit intake of sodium chloride (table salt) in your daily diet to 2300 mg per day or less than 1500 mg is ideal for most adults.
• Check your blood pressure regularly and make sure your blood pressure does go below than normal, consult your doctor when needed.

• Keep your weight under control with BMI (Body Mass Index) 19.5-24.9.
• Do regular physical activity or exercise for at least 150 minutes per week, or about 30 minutes most days of the week. Doing this can help you to lower your raised blood pressure by about 5 mm of Hg.
• Opt for a diet rich in whole grains, fruits, veggies, and low-fat dairy products.
• If you are taking alcohol then only one serving for women and two servings for men is advisable.
• Quitting smoking is the best strategy to lower the risk of heart disease.
• Avoid chronic stress as it can raise your blood pressure. Try to enjoy and spent time with your loved ones to cope with stress and practice mindfulness techniques.
• Monitor your blood pressure daily and if there is too much fluctuation then immediately contact your doctor.
• Try to include heart-healthy omega 3 fatty acids containing food drinks in your daily diet. You can also use low-fat cooking oil like olive oil, soybean oil, canola oil, and coconut oil can help in lowering your elevated blood pressure.